2007—2011年孝感市早产儿并发症调查分析  

Investigation analysis of complications in premature infants in Xiaogan City from 2007 to 2011

作　　者：甘斌[1] 杨树杰[1] 易海英[1] 陆敏 

机构地区：[1]孝感市中心医院新生儿科,湖北省432000 [2]孝感市妇幼保健院保健部,湖北省432000

出　　处：《中华实用诊断与治疗杂志》2013年第4期344-345,348,共3页Journal of Chinese Practical Diagnosis and Therapy

基　　金：2010度中华预防医学会公共卫生应用研究与疫苗可预防疾病科研资金支持项目(20101702)

摘　　要：目的分析孝感市2007—2011年早产儿主要并发症发生情况,探讨影响早产儿生存质量的疾病,为临床预防及制订治疗方案提供依据。方法回顾性分析17所医院收治的8 143例有早产儿并发症患儿的临床资料,对并发症发生率>1%的早产儿并发症进行统计分析。结果 8 143例中早产儿并发症发生率位居前4位的是吸入综合征(58.22%)、高胆红素血症(48.99%)、早产儿脑损伤(23.30%)、窒息(包括宫内窒息)(22.68%);吸入综合征、高胆红素血症、新生儿呼吸窘迫综合征、喂养不耐受、消化道出血、贫血并发症发生率男性均大于女性(P<0.05);部分并发症的发生与体质量及胎龄存在正相关或负相关关系。结论小胎龄和低体质量早产儿是各种并发症发生率增加的主要原因,防治早产和各种并发症可有效提高早产儿生存质量。Objective To analyze the incidence of the main complications in premature infants in Xiaogan City from 2007 to 2011 and study the main disease that could affect the life quality of the premature infants in order to provide the scientific evidences for the prevention and treatment. Methods The clinical data of 8 143 premature infants from 17 hospitals in Xiaogan City were analyzed retrospectively. Those with the incidence of complication over 1% were statistically analyzed. Results The first four complications from high to low incidence were aspiration syndrome （58.22%）, hyperbilirubinemia （ 48. 99 %）, premature brain injuries （ 23. 30%） and asphyxia （ including intrauterine asphyxia） （22. 68%） in 8 143 premature infants. The complication rates of aspiration syndrome, hyperbilirubinemia, neonatal respiratory distress syndrome, feeding intolerance, gastrointestinal hemorrhage and anaemia were higher in males than those in females. Some of the complications were positively or negatively correlated with the body mass and gestational age. Conclusion Low gestational age and body mass are the main causes of complications in premature infants. Prevention of premature delivery and complications can effectively improve the life quality.

关 键 词：早产儿 并发症 胎龄 体质量 

分 类 号：R722.6[医药卫生—儿科]